Routine inspection·October 27, 2025

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual visit. LPA was met by Caregiver Eva Tancinco and explained the purpose of the visit. Sub-Administrator Iren Creighton was advised via phone call. The facility is licensed to serve residents 60 and above, fire cleared for six (6) non-ambulatory and approved to accept and retain three (3) residents under hospice care. The facility is a single-story home located in a residential area of San Dimas. The home consists of living room, dining area kitchen, laundry area, one (1) staff room, four (4) resident rooms, two (2) bathrooms, front yard, back yard and attached garage. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstructions. Smoke detectors were observed throughout the facility and are operable. There is a carbon monoxide detector located in the hallway of the home. There is a fire extinguisher located near the kitchen which is charged and last serviced 06/2025. Emergency drills conducted quarterly, last drill was 10/05/25. continued on LIC 809C Continued from LIC 809 Kitchen was observed to be clean and free of pests. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in a kitchen drawer and are inaccessible to residents. Sufficient supply of two (2) days perishable and seven (7) days non-perishable foods were observed. Fireplace located in the living room was inaccessible with a covered screen. Dining room and living room are clean and free of obstructions and have sufficient seating for residents in care. Resident bedrooms have the required furniture and have sufficient closet and storage space. Resident beds have the required linen and the linen is in good repair. Washing machine and dryer were clean and operable at the time of visit. There is a locked cabinet in the hallway with detergent, cleaning supplies and disinfectants, secured and inaccessible to residents in care. Medications are centrally stored in a locked cabinet in the kitchen. Medications are documented properly and given as prescribed. First Aid kit was fully stocked with current manual. Five (5) resident and three (3) staff files were reviewed and were observed to contain required documentation. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were cited during today’s visit. Exit interview held and a copy of this report was provided to caregiver Eva Tancinco.